NP / PA
Romano, Susan
Romano, Susan was paid $263K by Medicaid between Jan 2018 and Nov 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoROMANO, SUSAN
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1639362528assigned 08/23/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$263K
24GClaims9,452
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#16 of 70
Median peer was paid$60K
This provider vs. median4.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,314 | $96K | |
| 2019 | 3,346 | $95K | |
| 2020 | 2,792 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,627 | 1,525 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 596 | 506 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 579 | 448 | $31K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 444 | 420 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 10% | 1,288 | 1,094 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 388 | 347 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 1,484 | 1,252 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 561 | 447 | $13K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 868 | 705 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | 16 | $1K |
| 90474 | <1% | 111 | 97 | $621.28 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 24 | 17 | $585.00 |
16 more codes
| 96127 | <1% | 78 | $336.53 | |
| 99173 | <1% | 53 | $254.22 | |
| 99177 | <1% | 36 | $179.09 | |
| 96161 | <1% | 42 | $4.32 | |
| 90647 | 0% | 89 | $0.00 | |
| 90688 | 0% | 148 | $0.00 | |
| 90680 | 0% | 127 | $0.00 | |
| 90723 | 0% | 73 | $0.00 | |
| 90686 | 0% | 298 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90670 | 0% | 309 | $0.00 | |
| 90685 | 0% | 77 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90633 | 0% | 66 | $0.00 | |
| 90648 | 0% | 34 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.